A 50 year old man presents with severe epigastric pain radiating directly through to the back with shoulder pain.

Question Number 0114

Question:
A 50 year old man presents with severe epigastric pain radiating directly through to the back with shoulder pain. Examination reveals an acutely ill patient with obvious severe epigastric pain,tachycardia, and tachypnea The next appropriate step would be be

a) CT scan of the abdomen
b) blood culture
c) serum alcohol level
d) serum amylase
e) ultrasound of the abdomen


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